Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00576 | Date 18/12/2019 |
| Token No | SM/19-20/1176 18/12/2019 | Serial | 012 |
| Patient Name | Mr. SANTONU PATWA | Contact No | 9239260359 |
| Address | MALLICKPARA SERAMPORE | Age | 14 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||